Individual provider Active NPI

John David Barbato, O.D.

  • Optometrist
  • Secaucus, NJ
National Provider Identifier
1053393801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA005314 Issued in NJ
Practice address
1301 Paterson Plank Rd
Secaucus, NJ 07094-3707
Phone
(201) 864-2965
NPI assigned
Nov 17, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA005314 NJ Primary

Addresses

Primary practice location

1301 Paterson Plank Rd
Secaucus, NJ 07094-3707

Mailing address

1301 Paterson Plank Rd
Secaucus, NJ 07094-3707
Phone (201) 864-2965

Other identifiers 4

IdentifierTypeStateIssuer
2962366OtherNJAETNA MANAGED CARE
1K8624OtherNJPHS HEALTH NET
5372479OtherNJAETNA TRADITIONAL
6242201MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000382 NJ Practitioner - Optometry 1658309570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Freed OD, PAGroup PAC ID 2668522921, 2 clinicians
Morristown Eye Consultants PAGroup PAC ID 8729016860, 6 clinicians

Practice addresses (Care Compare)

1301 Paterson Plank Rd
Secaucus, NJ 07094-3707
Phone (201) 864-2965

261 James St
Suite 2D3E
Morristown, NJ 07960-6392
Phone (973) 984-3937

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as individual
Quality
73.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA005314NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Eye Consultants PA CurrentSince Sep 1, 2012 Accepting new patients
Nathan Freed OD, PA Optometrist CurrentSince Oct 5, 2012 Accepting new patients

Locations

261 James St
Ste 2D
Morristown, NJ 07960
Phone (973) 540-1819

1301 Paterson Plank Rd
Secaucus, NJ 07094
Phone (201) 864-2965

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053393801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943707",
            "telephone_number": "201-864-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943707",
            "telephone_number": "201-864-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBATO",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CARE",
            "identifier": "2962366",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTH NET",
            "identifier": "1K8624",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL",
            "identifier": "5372479",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6242201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.